| Michael Thomas Pruchnicki, MD | |
|
4200 University Ave Ste 300, West Des Moines, IA 50266-5945 | |
| (515) 401-1950 | |
| (515) 401-1955 |
| Full Name | Michael Thomas Pruchnicki |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 4200 University Ave Ste 300, West Des Moines, Iowa |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891773271 | NPI | - | NPPES |
| 4267 | Other | IA | MIDLANDS PROVIDER # |
| IA0122 | Other | IA | JOHN DEERE PROVIDER # |
| 26940 | Other | IA | TRICARE PROVIDER # |
| 27660 | Other | IA | BLUE SHIELD PROVIDER # |
| 050035373 | Other | IA | RAILROAD MEDICARE # |
| 0058420 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 26940 (Iowa) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Thomas Pruchnicki, MD 4200 University Ave Ste 300, West Des Moines, IA 50266-5945 Ph: (515) 401-1950 | Michael Thomas Pruchnicki, MD 4200 University Ave Ste 300, West Des Moines, IA 50266-5945 Ph: (515) 401-1950 |
Scott Alan Thompson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4201 Westown Pkwy Ste 236, West Des Moines, IA 50266 Phone: 515-401-1950 Fax: 515-401-1955 | |
Dr. Ryan Birkland, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2425 Westown Pkwy Ste 200, West Des Moines, IA 50266 Phone: 515-267-1819 Fax: 515-401-1313 | |
George Lederhaas, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4201 Westown Pkwy Ste 236, West Des Moines, IA 50266 Phone: 515-401-1950 Fax: 515-401-1955 | |
William Eugene Davis Jr., M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4200 University Ave, Suite 300, West Des Moines, IA 50266 Phone: 515-401-1950 Fax: 515-401-1955 | |
William Joseph Brosnahan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4200 University Ave, Suite 300, West Des Moines, IA 50266 Phone: 515-401-1950 Fax: 515-401-1955 | |
Cody Petersen, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 4201 Westown Pkwy Ste 236, West Des Moines, IA 50266 Phone: 515-401-1950 Fax: 515-401-1955 | |
Jeffrey Dean Anderson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4201 Westown Pkwy Ste 236, West Des Moines, IA 50266 Phone: 515-401-1950 Fax: 515-401-1955 |